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This is VAERS ID 1440734

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440734
VAERS Form:2
Age:14.0
Sex:Female
Location:Montana
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Throat irritation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Cherry
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Mother assists with history that patient''s throat felt "funny" once they return to their car after post-observation 15 mins observance. States that this is similar to when she eats certain foods namely cherry which is noted as an allergy in pt chart. Patient given 12.5mg diphenhydramine oral suspension with reported resolution of symptoms ("funny feeling in throat") after additional 15 mins observation. Patient discharged with mother.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440734&WAYBACKHISTORY=ON


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